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Home My WebLink About2015-00221 - plumbing CITY OF ORONO * 2 0 1 5 - 0 0 2 z i * " 2750 KELLEY PARKWAY DATE ISSUED: 02/23/2015 �' ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3399 CRYSTAL BAY RD PIN : 17-117-23-44-0021 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 018 BLOCK 000 PERMIT TYPE : PLUMBING(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE NOTE: PLUMBING FIXTURES: (3)WATER CLOSETS (5)LAVATORIES (2)BATHTUBS (1 SHOWER (1)KITHCEN SINK (1)DISHPOSAL (1)FLOOR DRAIN (1)WATER SOFTENER (1)WATER HEATER VALUATION OF PLUMBING 11336 APPLICANT PLUMBING FIXTURE FEE 141.70 STATE SURCHARGE PLBG(VALUATION) 5.67 PALADIN PLUMBING LLC TOTAL 147.37 13963 45TH PLACE NE Payment(s) ST MICHAEL,MN 55376- CHECK 3198 14737 (763)432-5260 OWNER V MCKINNEY, STEVE SOBIENIAK/ 339 CRYSTAL BAY RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. o� �3 //S^ Applicant Perm ee Signature Date Issue By Signature Date � F(}R CITY USE ONLY �O A}� City of Orono <y p.0.Bos 66 Date Received: Perniit i# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600—Main y (952)249-4616—Fax �' c`� C1TY OF ORONO-PLUMBING PERMIT ��KFSHo�'� (All Cortunercial Permits Must be Approved by the State Prior to Ciry Approval) htt ://�vww.dli.mn. ov/CCLD/PDF/ e lumb lanreva . df GENERAL INFORMATION 1. You may apply for plumbing permits by mail or in person at the City offices. Apptications will be reviewed and a permit will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS PUSTED ON TI�JOB SITE. 3. Plumbing pernuts may be issued ONLY to licensed plumbing contractors and to property owmers residing in the dwelling. 4. When any new consmtcti�n or remodeling is involved,a separate builciing permit must be obtained. 5. All work must be done in accordance with State Cocle requiremeuts. 6. All work must be inspected and air tested before it is covered. Call(952)249-4600. (24-48 hour notice required) TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial (Approval Required) �New ❑Additional ❑Repairs ❑ Replace ❑ Tn Accessory Structure? *You will need prior aparoval and may need CUP.(Per Orono City Code,Chapter 78,Article IV) Job Site/Owner Information: Site Address: 3q to� ci OQCI ----, Owner:_��1�2x� Mailing Address: c�ty: CGr�r,�� z�p: .-�iZa� Home Phone: Alternate Phone: Contractor Information: � Contractor: pa � �Un i �Contact Person: ��. ..h i� Address: (�'3 ��(-, State Bond#: ��d I r �' City: S��Mi��{L Zip:�_7�pExpiratio�nDate: la;3�� Phone: ��`��'3�5,-�� Alternate Phone: f� Insurance-Current: � r2. P�_-�/6 / 1 �,, . . � . , a � < � , y ,� �;s � -� � � � � ��. ��,� ��. � -� ' - � ��.�� , . _�� . ��,�,_. . �: . _ .:.� _ � � FIXTURE BSMT 1 T ZND OTHER FIXTURE BSMT 1 T 2ND pTHER TYPE FL FL TYPE FL FL Water Closet j I Floor Drains I � Lavatory � � Sewer Ejector Bathtub 1 1 Laundry Tray Shower Washer Kitchen Siuk � Water Heater Disposal Water Softener ' Dishwasher Wet Bar Sillcucks Miscellaneous , I, ,� ��-�� i ' S � R �' �>d ''� ��v� � m a �* . � �� 4��3�"'�2��tv��"�"a�� ..0. �Y�,�� y-. k- _ 6 ��" ,�'' �y �� Aq�� a,` � �41� � �� 7 1 "� ._a�`"a ,r �;t a �" yz?� ��'^ � '�� . a"�r 4'�i��k` ❑ Yes,this section applies The replacement of only one Residential fixture or appiiance that meets all three of the following requirements: 1. Does not require modification to electrical or gas seivice. 2. Has a total cos of$500.00 or less; excludinQ the cost of the fixture or appliance:and 3. ls improved,installed or replaced by the homeowner or licensed plumbing contractor. Skip next section,if this applies; Cost of Pennit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicabte) $ 2.00 Total Permit Fee $ (Permit Fees Continued Un Next Page) 2 . . �; < t �� ,._. . _. . � � � -... �� m, � � .�,? a � � �� u.�.: tf above does not apply;follow guidelines below: 1. CONTRACT PR10E *is 1.25%of contract price with a(Minimum Fee of$50.00) �l 3 3b X.oias $ l�f/.�D ( ontract price) (minimum 550.00) 2. STATE SURCHARGE I��3�� x.0005 $ ��P� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ^.� 4. TUTAL PERMIT FEE(Add Lines 1-3 Above) $ �'�`73? • * CONTRACT PRICE or JOB COST means the actual or escimated dollar amount charged for the permitted work including materials, Labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or instaliations are furnished by the owner, tenant or any other party, the reasonable market value of'such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. '�'�a'� a �,. x""�,, � 4� ,� � � w � "�'.��:;'t'+T '�'i u�� The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on fhis application are complete, true and correct. � Applicant's Signature: �.U�� Date: ��cg 7�` 3 �—� �� `� ?/b� T�� CITY OF ORONO CALLED IN `� INSPECTION N ��E� � SCHEDULED PERMIT NO coM ere� ADDRESS OWNER • ��EP NE NO? — CONTRACTOR � DESCRIPTION � � W ❑ FOOTWG ❑ DEM FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU ING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ E ER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET Y�y: YES_NO «� COMMENTS: � � j 0 � � 0 W � Q � W � W � � � d � ❑ SATISFACTORY:PROCEED ❑ PROJECT COMPIETE W ❑ RECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PEHMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION�SSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adva 249-46�� OwnerlContractor on site: Inspector: WhiM CopyAnspector's Ffle Canary CopylSMe Notke �� DAT , + �// CITY OF ORONO CALLED IN �� t •� � INSPECTION NOTICE SCHEDULED -'� PERMIT N0.3.c;�5- CC �� COMPLETED ADDRESS � �'� �l C' S �"�_--� `, 1�,c�1� OWNER TELE ONE O. CONTRACTOR �� l-�''"''�� >; DESCRIPTION ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL �LUMBiNG RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: �� r�`�.�C�C�- `�Cs � - �3� - � �1�.,C_� � � O - /� � elivtGY�� ' 2 O � ' �l�Y/dS 4r� SC�i-� � - W �.�.��s�� 5��•� � - ��iov<b� �/. �- �• Q 2 ' �� u,b� d�� -�o� wa.�`�� l�rett�✓ W � W � J a W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN _. INSPECTOR WtLL REfURN ., ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector. �/� �� White Copyllnspector's File Canary CopylSfte Notice DATE TIM� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �b��"G��2� COMPLETED b_ �--,,is� ADDRESS .3 39'�l C�b Sts/ •L�c. .e�• OWNER � TELEPHONE NO. CONTRACTOR P��•�� • � DESCRIPTION ��''�'Oi�+d � 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTiC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING vj ❑ FOUNDATION WATERPROOF �MBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT e �:FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W � � - a �I✓Gt�/i.� ,�r o u/r,�a� R J O � 6✓o i 1� Co`n vl�L�r - 0 W � Q Z ,�t�i,.",G i�s/�� W � � J � ❑WORKSATISFACTOR�F.PROCEED �CT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERiNG PERMANENT ❑CORRECT UNSAFE CONDI'f10N WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advarxx:e. (952) 249-46�� OwnerlContractor on site: � Inspector: ""' White CopyMnspectoPs File Canary CopylSite Notkx